Laserfiche WebLink
Ftk i <br /> f a <br /> R <br /> FORWARD, INC. INVOICE <br /> 1145 West Charter Way Invoice Date 1011572018 <br /> Stockton, CA 95206 Invoice No 4204-000051633 <br /> REPUBLIC customer No 4-4204-4010317 <br /> SERvi10ES <br /> t2FISTULDTAU OW409 Page No 1 of 2 <br /> �Illliil.11ilrlll..11.l.11.i.1111.Illl.11lll.11i•llllll.l�lllll Due Date 11114/201$ <br /> H&H ENGINEERING CONSTRLI _T +-,q�&7,z-% Current Clear <br /> MARIA JAIMES _ _'e_ Total Amount Due <br /> 212 INDUSTRIAL DRIVE _ $G95.55 J 1�–s2,104.421 <br /> STOCKTON,CA 95206 OCT 2 7. 1018 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 209-466-4492 <br /> iMPORTANTHI To ensure your payment is Posted to time correct invoice,we neem <br /> the torn remittance from your invoice.Thank you. <br /> Date Code Descr"omal Reeretmur Rate 4111121111ft -- Amount <br /> 4 101104 VS SIN--nMBER1TREATED/OLD Y81334539 61.45 8.81 TN 614.50 <br /> D 10/04 VS Reference:4457734/508524 <br /> 10104 VS Vehicle:DCC 3357 ,DCC 40YD <br /> 0 <br /> CD <br /> 10104 VS Contract.4204122008 <br /> co <br /> 10104 VS Generator Name:H&H ENGINEERING <br /> z <br /> z 10104 (1 ENVIRONMENTAL FEE 1 SC798418 16.25 1.00 16.25 <br /> z <br /> z ( 16.25/Ticket)ENVIRONMENTAL FEE 1 <br /> z 10104 )1 FUEL RECOVERY FEE SC798419 44.98 1.00 44.98 <br /> z (732%/Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.00/TN � 0.00 8.81 17.62 <br /> z <br /> z SJ Cnty 1 Rd Mitigation Fee at 0.16/TN 0.00 8.81 1.41 <br /> CD <br /> SJ Cnty/Env Health Fee at 0.09/TN St;rt G 0.00 8.81 0.79 <br /> ---Material Summary <br /> SW-TIMBER/TREATED/OLD a i 5 8.81 <br /> CD <br /> CD <br /> co <br /> ACCOUNT STATUS OCT 2 3 2018 <br /> -�- _0.00 --P-0.00- <br /> Das 00TofaiAmountcurreae 3146 sig oar 90 0.00 0.00 $2,104.42 <br /> A <br /> m <br /> 4 4.Please return this portion below with your payment.Do not attach check to stub. y y <br />